Open Access

Development of video-assisted breast cancer surgery: Initial experience with a novel method for creating working space without prior liposuction

  • Authors:
    • Qian-Fu Wu
    • Ying-Hua Yu
    • Xiao Zhu
    • Ying Cui
    • Qin-Guo Mo
    • Chang-Yuan Wei
    • Xue-Juan Lin
    • Xue-Ying Liu
    • Wei-Kang Xie
    • Shui Gan
    • Wei Lei
  • View Affiliations

  • Published online on: May 31, 2017     https://doi.org/10.3892/mco.2017.1279
  • Pages: 32-38
  • Copyright: © Wu et al. This is an open access article distributed under the terms of Creative Commons Attribution License.

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Abstract

Endoscopic techniques are promising in breast surgery. In order to create working space, liposuction is widely used in video-assisted breast surgery (VABS). However, the use of liposuction is likely associated with side effects that may partly limit the application of VABS. Therefore, a new technique of endoscopic axillary lymphadenectomy without prior liposuction was developed by our group. A total of 106 female patients underwent VABS, with special adaptation of the video-assisted surgical procedures previously described. Differing from other endoscopic surgery techniques, our adaptations of VABS included the selection of the working instruments, trocar placement, creation of working space, order of axillary lymph node dissection and method of mastectomy. The operative time was 50-180 min (mean, 85.5 min). The intraoperative blood loss ranged from 20 to 100 ml (mean, 48 ml). The mean lymph node number harvested was 11.5 (range, 6-31). No serious intra- or postoperative complications were recorded. There was no axillary tumor relapse, trocar site tumor implantation or upper limb edema. Without prior liposuction, our new technique of VABS reduced the blood loss volume, endoscopic surgery time, total volume of drainage fluid and, most importantly, the risk of port-site metastases. This new technique appears to have great clinical potential and good prospects for future endoscopic breast surgery development.
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July 2017
Volume 7 Issue 1

Print ISSN: 2049-9450
Online ISSN:2049-9469

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Copy and paste a formatted citation
APA
Wu, Q., Yu, Y., Zhu, X., Cui, Y., Mo, Q., Wei, C. ... Lei, W. (2017). Development of video-assisted breast cancer surgery: Initial experience with a novel method for creating working space without prior liposuction. Molecular and Clinical Oncology, 7, 32-38. https://doi.org/10.3892/mco.2017.1279
MLA
Wu, Q., Yu, Y., Zhu, X., Cui, Y., Mo, Q., Wei, C., Lin, X., Liu, X., Xie, W., Gan, S., Lei, W."Development of video-assisted breast cancer surgery: Initial experience with a novel method for creating working space without prior liposuction". Molecular and Clinical Oncology 7.1 (2017): 32-38.
Chicago
Wu, Q., Yu, Y., Zhu, X., Cui, Y., Mo, Q., Wei, C., Lin, X., Liu, X., Xie, W., Gan, S., Lei, W."Development of video-assisted breast cancer surgery: Initial experience with a novel method for creating working space without prior liposuction". Molecular and Clinical Oncology 7, no. 1 (2017): 32-38. https://doi.org/10.3892/mco.2017.1279